Individual
MRS. LORRI M PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
863 NE HIDDEN VALLEY DR UNIT 1, BEND, OR 97701-6575
(541) 350-3945
Mailing address
863 NE HIDDEN VALLEY DR UNIT 1, BEND, OR 97701-6575
(541) 350-3945
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
200941831
OR
164W00000X
Licensed Practical Nurse
200830291
OR
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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